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Vermont rates for HCPCS L5987

All Lower Extremity Prosthesis Shank Foot System With Vertical Loading Pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,136.29 / $4,136.29 / $4,772.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,857.60 / $6,857.60 / $6,857.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,229.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $4,831.50 / $7,085.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,229.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $6,042.00 / $7,085.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,819.11 / $5,831.47 / $9,798.87